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Envolve Vision Benefits Puerto Rico

This page contains information you can use to exchange healthcare transactions with Envolve Vision Benefits Puerto Rico using Stedi.
Use any of the following payer IDs to send transactions to Envolve Vision Benefits Puerto Rico using Stedi APIs or SFTP. Read the docs
Primary Payer ID
204861241
Stedi Payer ID
WSXQY
Payer ID aliases
204861241
Coverage types
Vision

Supported transactions

Use Stedi to exchange the following transactions with Envolve Vision Benefits Puerto Rico using APIs or SFTP. Send transactions as JSON or raw EDI files.
Eligibility & benefit verification
Supported

Eligibility checks

(270/271)
Verify member coverage and benefits by sending real-time and batch eligibility checks to Envolve Vision Benefits Puerto Rico.
Not supported

Coordination of benefits checks

(COB)
Submit coordination of benefit checks to Envolve Vision Benefits Puerto Rico to determine if a member has overlapping coverage with another plan and determine each payer's responsibility for paying claims.
Claims processing
Not supported

Real-time claim status

(276/277)
Check on the status of a claim previously submitted to Envolve Vision Benefits Puerto Rico in real-time by sending a claim status check (276/277).
Not supported

Professional claims

(837P)
Submit professional claims to Envolve Vision Benefits Puerto Rico and receive 277 claim acknowledgments asynchronously.
Not supported

Institutional claims

(837I)
Submit institutional claims to Envolve Vision Benefits Puerto Rico and receive 277 claim acknowledgments asynchronously.
Supported, enrollment required

Claim payments

(835 ERA)
Receive electronic remittance advice (ERAs) from Envolve Vision Benefits Puerto Rico to review full payment details.
Enrollment process type
One-click
Activation timeframe
-
Not supported

Dental claims

(837D)
Submit dental claims to Envolve Vision Benefits Puerto Rico and receive 277 claim acknowledgments asynchronously.
Not supported

Unsolicited claim attachments

(275)
Receive unsolicited attachments for claims submitted to Envolve Vision Benefits Puerto Rico.
Get started
Use Stedi's APIs to get fast and reliable connectivity to Envolve Vision Benefits Puerto Rico and start processing healthcare claims and eligibility checks within minutes.
Start processing healthcare claims and eligibility checks with Stedi and Envolve Vision Benefits Puerto Rico today.
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